See Our Product

Beyond basic form-filling, our AI distills exhaustive patient data into robust arguments that resonate with payers, even when no positive policy exists.
We cross-reference every line of hundreds of pages per case: patient charts, payer policies, clinical guidelines, medical literature, and more.
We customize our tools to your workflow and offer a no-risk evaluation period.

Our Solution

Synthesizes medical information with AI to generate prior auths, appeals, and other patient-specific documents
Transforms your team into case reviewers rather than writers by enabling AI-assisted double-checking of all outputs
Integrates payer-specific policies, diagnosis-specific guidelines, clinical literature, and product evidence
Delivers up-to-date reimbursement trend data for your device to support payer negotiations and provider sales

How It Works

We customize our tool to your exact workflow. Book a demo to learn more about how we can improve your reimbursement processes. 

01

Gathering Documentation

We build a lightweight integration to your CRM / case management tool to pull in patient documents automatically, or patients, providers, and patient access teams can upload documents directly. We then use AI to split and label each document. We also pull in updated payer policies and can run benefits verification.

02

Case Assessment

Our AI reviews the full patient file line-for-line against the exact payer policy, clinical guidelines, and product evidence in minutes, and flags missing documentation to prevent sending an incomplete submission. If a policy doesn’t exist yet, the AI can still generate a robust justification based on available clinical evidence and guidelines.

03

Extracted Data Analysis

Reviewers can easily verify any component of the case by clicking the citation, which displays the source document with highlighted references alongside the analysis.

04

Customized Justification Letter

The platform generates fully cited prior auths, appeals, and determination documents that incorporate payer language and map every statement to the criterion it satisfies, including policies and guidelines.

05

Follow-up calls to payers

After submission (whether by the provider, patient, or your team), we use Voice AI technology to directly call payers just like a human rep would. We can follow-up on a case’s status, advocate for additional reviews, etc.

06

Intelligence and Audit Trail

Real-time analytics expose pass/fail drivers and ROI metrics, while one-click exports deliver a policy-traceable, audit-ready packet for payers, regulators, or internal QA.

We support many major CRMs

and more

Want to improve your company’s reimbursement processes?
Book a demo today.

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